Urinary System Flashcards

1
Q

Describe the overview of urinary system.

A

1) kidney (capsule, cortex, medulla, pelvis, interstitium)
-excrete nitrogenous waste
-conserve body fluids & electrolytes
-reabsorb solutes & water
2) ureter
-urine to bladder
3) urinary bladder
-store urine
4)urethra
-expel urine

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2
Q

What are the functions of the kidneys?

A

1) water & electrolyte homeostasis
-filtration of cellular waste from blood
-selective reabsorbtion of water & solutes
-regulation of fluid balance
-maintain electrolyte homeostatic/ acid base balance
2)excretion of metabolic waste products, bio active substances (drugs) & excess water
3) production of hormones: renin & erythropoietin
4) regulation of BP
-juxtaglomerular apparatus
5) activation of Vit D

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3
Q

Describe abnormal urine.

A

1) content
-glucose, blood, haemoglobin, myoglobin, bacteria, cells
2) color
-haemoglobin, myoglobin, bilirubin
3) volume
-polyuria, oliguria, anuria

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4
Q

Describe primary renal diseases.

A

according to site of injury
-glomeruli
-tubules
-blood vessels
-ascending infections
-renal neoplasia
-renal infarction
-renal failure

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5
Q

Describe the structure of the kidney.

A

-capsule
-renal lobe/pyramid
-outer cortex
-inner medulla
-papillae/crest
-calices (dilation of renal pelvis)
-pelvis (dilation of proximal ureter)

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6
Q

What are the 3 types of kidney lobes?

A

1) unilobar = carnivores (pyramid)
2) multilobar = ruminants (segmented)
3) multilobar = pig (smooth surface)

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7
Q

Describe the important tissues of the kidney.

A

1) capsule
-collagen
-smooth muscle
-blood vessels
2) cortex
-renal corpuscles (nephron)
-convoluted tubule (nephron)
3) medulla
-loop of Henle (nephron)
-collecting duct
4) pelvis
-urothelium
-submucosa
-smooth muscle
-adventitia

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8
Q

Describe the nephron.

A

-functional unit
-site of osmoregulation via:
-filtration of water & sm molecules from blood plasma to form a filtrate
-selective reabsorption of most of the water and other molecules

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9
Q

Describe the important structures in the cortex of the kidney.

A

-renal corpuscles
-proximal tubule (microvilli)
-distal convoluted tubules (cuboidal)
-collecting tubules
-peritubular capillary plexus

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10
Q

Describe the important structures of the medulla in the kidney.

A

-loops of henle
-collecting ducts
-vasa recta

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11
Q

Describe the glomerus.

A

Loops of capillaries with fenestrated endothelium in bowman’s capsule.
*mesangial cells between capillaries *

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12
Q

Describe bowman’s capsule.

A

-visceral epithelium = podocyte
-glomerular basement membrane
-urinary space
-parietal epithelium = squamous cells
-vascular pole
-urinary (tubular) pole

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13
Q

Describe the vascular pole (ultrafiltration of glomerus).

A

-blood enters the glomerular capillaries via afferent arteriole
-blood exits at efferent arteriole

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14
Q

Describe ultrafiltration at the glomerus.

A

-blood pushes through filtration barrier
>fenestrated endothelium
>glomerular BM
>podocyte foot processes
-ultrafiltrate enters urinary space

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15
Q

Describe the urinary pole (ultrafiltration at the glomerulus).

A

-ultrafiltrate enters proximal convoluted tubule

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16
Q

What are the 3 components of the filtration barrier?

A

located in cortex = glomerus
1. Endothelium of glomerular capillary loops with fenestrated NS
2. Glomerular BM = fused basal laminae of capillaries & podocyte
3. Podocyte with pedicels (foot processes)
*outcome = albumin & lg molecules retained. Sm molecule cross freely with ultrafiltrate.

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17
Q

What molecules are in filtrates?

A

-water
-glucose
-amino acids
-ions
-urea
-hormones
-vitamins B & C
-ketones
-protein

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18
Q

Describe the formation of urine.

A
  1. Primary/glomerular filtrate = produced by ultrafiltration of blood in renal corpuscles
  2. Ultrafiltrate similar to blood plasma (doesn’t contain most protein)
  3. Reabsorption of most substances (98% of filtrate reabsorbed)
    -water & Na
    -glucose & amino acids
  4. Tubular secretion: K, H, NH4, bile salts, drug metabolites
  5. Waste molecules + some water stay in tubular system & empty into the ureter.
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19
Q

Describe mesangial cells.

A

-phagocytic
-contractile
-support
-mesangial cells + matrix = mesangium

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20
Q

What happens if you don’t have a glomerus?

A

-renal tubule is surrounded by a renal portal system & forms primitive urine by tubular secretion

21
Q

Describe the 3 renal tubules.

A
  1. Proximal tubule
  2. Thin descending & thick ascending limb of nephron (henles) loop
  3. Distal convoluted tubule
22
Q

Describe the proximal convoluted tubule.

A

-begin at urinary pole
-only in cortex
-cuboidal with microvilli = brush border
-BM
-metabolically active with mitochondria
>na/k pump
>aquaporin
>peroxisomes
-endosomes
-lysosomes
-reabsorb glucose, na/H2O, amino acids, peptides & low molecular weight proteins

23
Q

What are the important aspects of Proximal Tubules?

A

-reabsorb anions, cations, urea
-active & absorb Na & water from glomerular filtrate in the PCT + glucose & amino acids
-activate Vit D

24
Q

Describe PCT & DCT components.

A
  1. Microvilli (PCT only)
  2. Basal striation = folds of PM with ATP driven Na pump both in PCT and in DCT
  3. Mitochondria = provide ATP for Na+ pump
25
Q

Describe the loop of henle (nephron loop).

A

-continues from PCT
-Thick descending: cuboidal
-thin: squamous (T)
-thick ascending: cuboidal (A)
-in medulla only

26
Q

Longitudinal picture of loop of henle.

A

V= vasa recta
capillary loop that parallels nephron loops. Helps with ion & water exchange.

27
Q

Describe distal convoluted tubule.

A

-continues from thick ascending loop of henle
-cuboidal
-no microvilli or BB
-cortex only
-site of action = aldosterone
-specialized chemoreceptor of macula densa

DCT left PCT right
28
Q

Renal cortex with renal corpuscle.

A
29
Q

Renal cortex with tubules.

A
Left PCT right DCT
30
Q

Describe collecting ducts.

A

-connect distal convoluted tubule to renal papillae/crest
-lumen = primitive urine
-cuboidal
-site of action = anti diuretic hormone via aquaporin receptors
*ex: vasopressin secreted by neurons in hypothalamus = reabsorbs solute free water & returns to circulation
-not part of nephron

31
Q

Longitudinal section of collecting ducts.

A

-principle cells = reabsorb Na & water
-intercalated cells participate in acid base balance

32
Q

Describe papillary ducts (renal papillae of canine).

A

-terminal portion of collecting ducts
-empty at area cribrosa (AC) of renal crest or renal papilla
-vasa recta = take water passing through collecting & papillary ducts
papilla or renal crest = terminal portion of inner medulla = extends into renal pelvis or calices

33
Q

Describe the vasculature.

A

-high blood supply (25%)
-terminal artery system
Renal -> interlobar artery -> arcuate artery-> interlobular artery -> intralobular (arcuate) artery
-afferent arteriole
> glomerus (capillaries)
-efferent arteriole
>peritubular capillaries (surround tubules)
>vasa recta (surrounds loop of henle)
-intralobular vein
-interlobular vein
-arcuate vein

34
Q

Describe the interstitium.

A

-more present in inner medulla & sparse in cortex
-interstitial cells: fibroblasts, bone marrow derived, lipid laden interstitial cell (stellate shaped) in inner medulla mostly = produce prostaglandin E2

35
Q

Describe lymphatics.

A

-found in interstitium surrounding intrarenal arteries
kidney has efferent innervation to the smooth muscle of arteries, afferent & efferent arterioles, & descending vasa recta

36
Q

Describe the juxtaglomerular apparatus.

A
  • DCT association with renal vasculature
Macula densa on left and juxta on right DCT underneath
37
Q

What are the functions of the kidney?

A
  1. Water & electrolyte homeostasis
    -filtration of cell waste from blood
    -selective reabsorption of water & solutes
    -regulation of fluid balance
    -maintain electrolyte homeostasis/acid base balance
  2. Excretion of toxic metabolite waste products & excess water
  3. Production of hormones = renin & erythropoietin endothelial cells of cortical peritubular capillaries (stimulates production of RBCs)
  4. Regulate BP = juxtaglomerular apparatus
  5. Activate endogenous Vit D (calcitriol, active form)
    >skin - liver - kidney
38
Q

Describe the JG apparatus.

A

1) macula densa = chemoreceptors that sense Na concentrations in filtrate (Na chemoreceptors)
2) modified smooth muscle = JG cells of afferent & efferent arteriole.
-Detect variations in BP (baroreceptors)
-secrete renin into vessel lumen in response to low Na in filtrate & low BP

39
Q

Describe the JG apparatus & BP.

A
40
Q

Labeled renal corpuscle picture.

A
41
Q

What are the 4 layers of tubular organs?

A
  1. Mucosa
    -lamina mucosa/epithelium
    -LP
    -lamina muscularis
  2. Submucosa
  3. Muscularis
  4. Serosa/adventitia
    NO lamina muscularis if 3 layers only
42
Q

Describe the ureters.

A

-urine from renal pelvis to bladder
-tunica mucosa = urothelium (transitional epithelium) U
-tunica submucosa = LP
no lamina muscularis
-tunica muscularis M
>3 layers of smooth muscle
>outer & inner longitudinal
>middle circular layer
>autonomic innervation = peristalsis
-tunica adventitia

43
Q

Describe the urinary bladder.

A

-tunica mucosa = urothelium
>LP
>lamina muscularis
-tunica submucosa
-tunica muscularis
>outer & inner longitudinal
>middle circular layer
*smooth muscle (detrusor muscle)
*skeletal muscle = sphincter near urethra
-tunica serosa/adventitia

44
Q

Horse urinary bladder picture.

A

Glands in the horse (g)

45
Q

Bulging cells of transitional epithelium. (Picture)

A

LPM = lamina propria mucosae

46
Q

Male dog urethra & prostate. (Picture)

A

-urothelium proximal
-squamous distal
-accessory sex gland
-mucous glands
MALE:
-vascular stratum (corpus spongiosum)
-tunica muscularis/urethral sphincter
>smooth muscle proximal
>skeletal distal
FEMALE: shorter (more bacterial infection)

47
Q

Describe renal development.

A

-pronephros - regresses in mammals
-mesonephros
>forms nephron that secrete fluid into amnion (regresses later)
>mesonephric duct (wolffian duct) = retained in males = forms Epididymus, vas deferens, seminal vesicles
- metanephros

48
Q

Describe the metanephros.

A
  1. Ureteric bud - outgrowth of mesonephric duct
  2. Collecting tubules form, bifurcate = nephrons begin to develop
  3. Metanephros duct becomes ureter
    urinary bladder & urethra are derived from endoderm